Michael Brunsting, PTA

NPI #1518145507 in Matteson, Illinois

Provider Information

NPI Number: 1518145507
Entity Type: Individual
Name: Michael Brunsting, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Feb 1, 2008
Last Updated: Feb 1, 2008

Practice Location

Address: 4801 SOUTHWICK DR
Address 2: 5TH FLOOR
City: Matteson
State: Illinois
ZIP Code: 60443-2254
Phone: (708) 283-9765

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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